Alfie is a calm child who is emotionally responsive. He enjoys interactions with others, maintains eye contact, smiles at familiar people, coos, recognizes people's feelings and tone of voice, waves hello, and shakes hands. He babbles, but is not using words yet.

Alfie can roll over, stand and sit with support and cruise along walls and furniture. He is trying to crawl and pull up to a stand on his own. Alfie reaches for toys and plays with them. He loves to play with adults and laughs out loud during games of peekaboo. Alfie responds adequately to various stimuli and observes what's happening in his environment.

Alfie lived with his birth family for the first six months of his life. Some of his siblings also have birth defects though genetic testing showed no systematic numerical or structural anomalies for Alfie. He is making developmental progress through early intervention and is waiting for a forever family to help him reach his fullest potential.

Update August 2015: In July 2015, Alfie underwent further medical testing which showed that he has scoliosis and a congenital heart defect without cardiac insufficiency. The results of another genetics test are still pending.

Alfie is described as a sweet, patient, and affectionate boy. He observes his environment with interest, but is more passive than other children. He responds to his name, can carry out simple commands, and sits independently. Alfie has regular sessions with a resource teacher who comes to work with him at the orphanage.

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